Image-guided Localization Techniques for Nonpalpable Breast Lesions: An Opportunity for Multidisciplinary...

Area of Science:

• Radiology
• Surgical Oncology
• Medical Devices

Background:

• Increased screening mammography detects more nonpalpable breast and axillary lesions.
• Accurate localization is crucial for the excision of these diverse pathologies.
• Preoperative localization methods have advanced beyond traditional wires.

Purpose of the Study:

• To review current preoperative localization techniques for nonpalpable breast and axillary lesions.
• To compare the efficacy of wire versus nonwire localization methods.
• To identify key factors in selecting and adopting image-guided localization systems.

Main Methods:

• Review of evolving preoperative localization techniques, including wire and nonwire methods (radioactive seeds, radar reflectors, magnetic seeds, RFID tag localizers).
• Comparative analysis of surgical outcomes between wire and nonwire localization devices.
• Identification of factors influencing the selection and adoption of localization systems.

Main Results:

• No statistically significant differences in surgical outcomes were observed between wire and nonwire localization devices.
• Nonwire methods encompass radioactive seeds, radar reflectors, magnetic seeds, and RFID tag localizers.
• Physician preference, ease of use, workflow efficiency, and patient satisfaction are key selection factors.

Conclusions:

• The choice of localization method for nonpalpable breast lesions should involve multidisciplinary input for value-based, patient-centered care.
• Wire and nonwire localization techniques demonstrate comparable surgical outcomes.
• System selection should prioritize clinical workflow, user experience, and patient satisfaction alongside efficacy.